Individual
LESLIE K JAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2866 W PHILADELPHIA AVE, OLEY, PA 19547-8922
(610) 987-3451
(610) 987-6809
Mailing address
48 TUNNEL RD, SUITE 203, POTTSVILLE, PA 17901-3875
(570) 622-5455
(570) 622-5493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052108
PA
363A00000X
Physician Assistant
Primary
OA000289L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50058171
CAPITAL BLUE
—
Enumeration date
09/06/2006
Last updated
07/09/2013
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